NPI | 1477963577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 101867) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OK 101920) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9329557) | |
Enumeration Date | 2014-04-29 |
Last Update Date | 2020-12-29 |